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Get K-wc 97 (rev. 5-99). K-wc 97 (rev. 5-99)
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How to fill out the K-WC 97 (Rev. 5-99) online
Filling out the K-WC 97 (Rev. 5-99) form online is an important process for those requesting workers compensation records. This guide provides clear instructions on each section of the form, ensuring a smooth completion experience for all users.
Follow the steps to complete the K-WC 97 (Rev. 5-99) online.
- Press the ‘Get Form’ button to access the K-WC 97 (Rev. 5-99) form and open it in your preferred editor.
- Fill in your personal information in the 'For Party Requesting Information' section. This includes your name, phone number, company or entity, and the address where you can be reached.
- Indicate the name of the worker whose records are being requested, along with any necessary details regarding the accident reports or medical records you seek.
- Specify the category that applies to you as the requestor. Choose either Category I or II and complete the relevant sections accordingly. For Category I, indicate if you are the employer or an insurance carrier for the worker. For Category II, confirm if you are an employer making an employment offer.
- Provide the date of the accident or the type of job conditionally offered in the corresponding fields based on the category you selected.
- Ensure that the worker whose records are being requested signs the release section, granting permission for their records to be shared.
- Lastly, the requestor must sign and date the verification statement, certifying that all information provided is accurate.
- After completing the form, save your changes. You can download, print, or share the completed K-WC 97 (Rev. 5-99) form as needed.
Begin completing your K-WC 97 (Rev. 5-99) online today for a hassle-free experience.
It is an insurance policy that is provided by the employer (by law) to pay employee benefits for job-related injuries, disability or death. The present law covers all Kansas employers except for those in certain agricultural pursuits or those with a gross annual payroll of $20,000 or less.
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